Provider Demographics
NPI:1376730408
Name:RODRIGUEZ, MANUEL DAMIAN (DO,MS, MPH)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:DAMIAN
Last Name:RODRIGUEZ
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Gender:M
Credentials:DO,MS, MPH
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Mailing Address - Street 1:11660 ALPHARETTA HWY
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4943
Mailing Address - Country:US
Mailing Address - Phone:770-255-1069
Mailing Address - Fax:770-255-1075
Practice Address - Street 1:11660 ALPHARETTA HWY
Practice Address - Street 2:SUITE 430
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4943
Practice Address - Country:US
Practice Address - Phone:770-255-1069
Practice Address - Fax:770-255-1075
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2016-04-19
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Provider Licenses
StateLicense IDTaxonomies
GA69433207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease